Climate Change and EM 02: Climate and Health Impacts

Course Credit: 8 hours

Curriculum: Module 2 of 10

Topic	Reading Material
Climate Change and Human Health: Present and Future Risks: Here we will begin our journey into understanding the health impacts of climate change and the challenges of predicting what the future holds.	Lancet: Climate change and human health: present and future risks
U.S. Global Change Research Program	Fourth National Climate Assessment, Chapter 14: Human Health
Climate change and human health: Provides a broad overview of how climate change is impacting health in the U.S. Explore resources ranging from webinars, videos, and publications.	Centers for Disease Control and Prevention (CDC): Climate effects on health
Clinical impacts for emergency medicine: How are the patients we see in the ED and health systems operations being affected by climate change?	Annals of Emergency Medicine: Clinical implications of climate change on US emergency medicine: challenges and opportunities
Heat waves and heat-related illnesses	British Medical Journal: Heat illnesses in clinical practice  Biology Reports: Death toll exceeded 70,000 in Europe during the summer of 2003 Environmental Health Perspectives: Summertime acute heat illness in U.S. emergency departments from 2006 through 2010: Analysis of a national representative sample Prehospital and Disaster Medicine: Impact of heat waves on transport volumes in an urban emergency medical services system: A retrospective review Environmental Science and Technology: Compound climate and infrastructure events: How electrical grid failure alters heat wave risk Nature Medicine: Anomalously warm temperatures are associated with increased injury deaths Preventative Medicine: Neighborhood segregation, tree cover and firearm violence in 6 U.S. cities, 2015-2020 PLOS One: Increased winter drownings in ice-covered regions with warmer winters
Wildfires	Journal of the American Heart Association: Cardiovascular and cerebrovascular emergency department visits associated with wildfire smoke exposure in California in 2015 New England Journal of Medicine: Wildfires, global climate change, and human health PLOS Medicine: The San Diego 2007 wildfires and Medi-Cal emergency department presentations, inpatient hospitalizations, and outpatient visits: An observational study of smoke exposure periods and a bidirectional case-crossover analysis Geohealth: Associations between wildfire‐related PM2.5 and intensive care unit admissions in the United States, 2006–2015
Drought and dust	Center for Climate and Energy Solutions: Drought and climate change GeoHealth: Associations between dust storms and intensive care unit admissions in the United States, 2000-2015
Displacement and migration	PLOS One: Modeling migration patterns in the USA under sea level rise Annals of Emergency Medicine: Burden of disease and health status among hurricane Katrina-displaced persons in shelters: A population-based cluster sample U.S. Global Change Research Program: Katrina Diaspora
Allergens	Journal of Allergy and Clinical Immunology: Anthropogenic climate change and allergen exposure: The role of plant biology
Infectious diseases and toxins	Center for Public Integrity (Vibrio): Deadly bacteria lurk in coastal waters. Climate change increases the risk. Transactions of the Royal Society of Tropical Medicine and Hygiene: Climate change, flooding, urbanisation and leptospirosis: fuelling the fire? U.S. Environmental Protection Agency: Climate change indicators: Lyme disease Centers for Disease Control and Prevention MMWR: West Nile Virus and other domestic nationally notifiable arboviral diseases – United States, 2018 Environmental Health Perspectives: Ciguatera fish poisoning and climate change: Analysis of national poison center data in the United States, 2001–2011
Other consequences of extreme weather events	Bulletin of the American Meteorological Society: Precipitation and fatal motor vehicle crashes: Continental analysis with high-resolution radar data Disaster Medicine and Public Health Perspectives: Characterization of carbon monoxide exposure during hurricane Sandy and subsequent Nor-easter Health Affairs: Scrambling for safety in the eye of Dorian: Mental health consequences of exposure to a climate-driven hurricane Clinical Journal of the American Society of Nephrology: Kidney patient care in disasters: Lessons from the hurricanes and earthquake of 2005

Climate Change and EM Team

• Lead Author: Caitlin Rublee, MD, MPH
• Secondary Authors: Catharina Giudice, MD; Katelyn Moretti, MD, MS; Kyle Martin, DO, MA, MPH; Andrew Musits, MD, MS
• Contributors: Joseph Leanza, MD; Christine Baek; Nikhil Ranadive, MD, MS
• ALiEMU Graphic Designer: Christopher Nash, MD
• ALiEMU Peer Reviewer: Michelle Lin, MD
• Sponsor: Medical College of Wisconsin
• Curriculum design consultant: Simiao Li-Sauerwine, MD, MSCR with the ALiEM Education Research Lab and Incubator (ERLI)